Peripheral arterial disease (PAD)

Peripheral arterial disease (PAD) is a condition characterized by the narrowing or blockage of arteries, usually in the legs, due to the buildup of fatty deposits called plaque. This restricts blood flow to the extremities, leading to symptoms such as leg pain, cramping, weakness, and numbness. Left untreated, PAD can result in serious complications like tissue damage, ulcers, and even amputation.

Peripheral arterial disease (PAD)

Risk factors for PERIPHERAL ARTERIAL DISEASE (PAD):

Several factors increase the risk of developing PAD, including:

  • Smoking: Tobacco use is one of the most significant risk factors for PAD.
  • Diabetes: Individuals with diabetes are at higher risk for PAD due to the damaging effects of high blood sugar on blood vessels.
  • High blood pressure: Hypertension can contribute to the development and progression of PAD.
  • High cholesterol: Elevated levels of cholesterol can lead to the buildup of plaque in the arteries, narrowing them and reducing blood flow.
  • Obesity: Excess weight puts added strain on the circulatory system and increases the risk of PAD.
  • Age: PAD becomes more common as people get older, particularly those over 50 years of age.
  • Family history: Having a family history of PAD or cardiovascular disease increases the likelihood of developing the condition.

Treatments for PAD Offered by HOPE:

At HOPE Vascular & Podiatry, we offer a comprehensive range of treatments to effectively manage Peripheral Arterial Disease and improve patients’ quality of life:

  • Non-invasive diagnostics: We utilize state-of-the-art diagnostic techniques, such as ultrasound Doppler imaging, to accurately assess blood flow and identify blockages in the arteries.
  • Peripheral artery bypass surgery: In cases where arterial blockages are severe, surgical bypass procedures may be recommended to redirect blood flow around the blocked artery, restoring circulation to the affected limb.
  • Angioplasty and stenting: Minimally invasive procedures like angioplasty and stenting are performed to widen narrowed arteries and improve blood flow. A catheter with a balloon tip is inserted into the affected artery and inflated to compress the plaque against the artery walls. Astent may then be placed to keep the artery open.
  • Transpedal and transradial procedures: Small is better now a days, we can safely do the intervention through very small access sites in your wrist or ankles.
  • Hyperbaric oxygen therapy: We offer hyperbaric oxygen therapy as an adjunctive treatment for PAD. This involves breathing pure oxygen in a pressurized chamber, which increases oxygen delivery to tissues, promotes wound healing, and enhances overall circulation.
A medical professional wearing a blue gown and protective eyewear performs a surgical procedure under illuminated equipment.

At HOPE Vascular & Podiatry, our multidisciplinary approach combines cutting-edge technology with compassionate care to provide personalized treatment plans for PAD patients. Contact us today to schedule a consultation and take the first step towards managing your PAD effectively.

How to schedule a consultation for PAD?

We are dedicated to addressing your concerns and developing a treatment plan tailored to alleviate the symptoms associated with peripheral arterial disease (PAD). Don’t delay taking the first step toward healthier and better quality of life.

To schedule your consultation, click the button below that best represents you, or fill out the contact form and we will get in touch. If you have any questions about symptoms or require further information, our team is ready to assist you.

We are eager to assist you in finding relief for your Peripheral Arterial Disease symptoms and enhancing your overall well-being! Your healing journey begins with HOPE!

At our clinic, we understand the importance of family in the care and treatment process for our patients. Here are some ways we focus on the well-being of family members:

  • Comprehensive Support:
We offer a welcoming and understanding environment for all family members who accompany our patients. We know that emotional support and the presence of loved ones can positively influence the recovery process and overall well-being.

  • Specialized Treatments for Families

Many of our patients are mothers, daughters, spouses, and other family members who share the experience of caring for their vascular and podiatric health. We provide advanced treatments ensuring that each patient receives personalized and high-quality care.

  • Education and Resources
We believe in empowering our families with the knowledge needed to support their loved ones. We offer educational resources, workshops, and informational sessions on vascular and podiatric care. These sessions are designed to help families better understand the necessary treatments and care.

  • Success Stories
We share inspiring stories from our patient families who have achieved successful outcomes through our treatments. These stories reflect the love and care that families provide and how our clinic has been able to contribute to their well-being.

  • Continuous Contact and Support

We understand that concerns and needs can arise at any time. We offer open communication channels so that families can ask questions, express concerns, and receive the continuous support they need.
Hope - Vascular and Podiatry

Dr. Miguel F. Montero
Vascular Surgery Patient Referral Form
Please Fax this for to 346-205-0221

    Vascular Surgery Patient Referral Form








    Preferred contact name and number (if other than patient):



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    Questions? Contact client services at 346-541-6421
    7501 Fannin St. Suite 600, Houston, Texas 77054

    Hope - Vascular and Podiatry

    Dr. Brian D. Lepow
    Podriatry Patient Referral Form
    Plase Fax this for to 346-205-0221

      Podiatry Patient Referral Form








      Preferred contact name and number (if other than patient):



      Reason for referral:


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      Questions? Contact client services at 346-541-6421
      7501 Fannin St. Suite 600, Houston, Texas 77054

      Hyperbaric Oxygen Patient Referral

      7501 Fannin St., Suite 600
      Houston, TX 77054

      Hope - Vascular and Podiatry

        Hyperbaric Oxygen Patient Referral





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            HOPE Vascular and Podiatry

            Consent Form

            1. I hereby authorize, Dr Brian D. Lepow and/or Dr. Miguel F. Montero, and Anner Jimenez, NP to perform upon the named patient the following wound care and/or other treatment: Debride wound, removal of dead tissue, x-ray, labs/drawing blood, respiratory treatment and tests and the use of growth factors or other advanced technologies, as applicable. Dr Brian D. Lepow and/or Dr. Miguel F. Montero, and Anner Jimenez, NP has fully explained to me the expected benefits and complications (from known and unknown causes), attendant discomforts and risks that may arise, as well as possible alternatives to the proposed treatment and the anticipated results if the treatment is not performed. The treatment may include application of wound healing growth factors to improve healing. I have been given an opportunity to ask questions and all of my questions have been answered fully and satisfactorily.

            2. Any specimens/tissues removed may be examined and retained by the testing laboratory and its authorized affiliate for medical, scientific or educational purposes and such specimens/tissues or parts may be disposed of in accordance with accustomed practice.

            3. I acknowledge that no guarantees or assurances have been made to me considering the results intended from the wound care and/or other treatment.

            4. I hereby consent that photographs, tape recordings, videotape and/or movies may be taken of the patient named in connection with the medical and/or other services the patient is receiving. I further consent that a history of my/the patient’s social and medical problems may be taken by HOPE Clinical Innovation Center. Videotapes are used for educational purposes only. Recorded video tapes are not part of my medical record. Such photographs, tape recordings, videotapes, videos and/or histories may be published, shown, exhibited or otherwise used by the provider and its authorized affiliate may deem proper. I understand that neither myself/the patient nor members of my/the patient’s family will be identified by name in connection with any use of this material.

            5. I consent to the use of the information obtained during the course of my wound care treatment and stored in the HOPE Clinical Innovation Center’s database for the purpose of conducting research, and quality management activities. I understand that my identity will not be protected in any displays of this information at any time. I further agree that there are no restrictions placed on you or anyone related to the for the use of this information in the manner described above.

            6. I request that payment to authorized Medicare benefits be made either to me or on my behalf for services furnished to me by the provider. I authorize any holder of medical information about me to be released to the Center for Medicare and Medicaid Services and its agents any information needed to determine these benefits or the benefits payable to related services. I understand that I am responsible for any amount not covered by insurance.

            7. I agree to allow HOPE Clinical Innovation Clinic to send me automated text messages to the number I have provided for appointment reminders and discharge instructions.